Summary
If early warning of intravascular fluid overload can be given to the surgeon during transurethral prostatic resection the operation can be terminated and serious complications can be avoided. This warning can be given by carrying out serial serum sodium determinations which, by indicating hyponatraemia, have proved to be a valuable adjunct to cardiovascular monitoring during transurethral operations.
Résumé
Nous rapportons deux cas de décès dus à l’irrigation continue durant la prostatectomie transurethrale. Les morts sont dues à une hyponatremie grave. A la suite d’une étude de 104 malades surveillés par des déterminations horaires de sodium sérique, la fréquence d’un sodium sérique inférieur à 130 mEq/litre a été de 17.4 pour cent. Nous sommes d’avis qu’il est possible d’éviter de sérieuses complications en exerçant une surveillance horaire du sodium sérique et même plus fréquemment si le malade devient symptomatique. Si le malade présente une hyponatrémie de dilution, il faut arrêter l’opération, et, alors, le malade va établir une diurèse qui va lui permettre d’éliminer l'excès d'eau.
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References
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Aasheim, G.M. Hyponatraemia during transurethral surgery. Canad. Anaesth. Soc. J. 20, 274–280 (1973). https://doi.org/10.1007/BF03027165
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DOI: https://doi.org/10.1007/BF03027165